Carol Ann Brunkowski, SCHOOL PSYCHOLOGIST

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1989567 Issued in IL

Practice address

4930 S Cottage Grove Ave
Chicago, IL 60615-2616

Phone

(773) 285-8040

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1124664602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W GEORGE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574104",
            "telephone_number": "773-883-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152616",
            "telephone_number": "773-285-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNKOWSKI",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1989567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Brunetti, D.D.S.
• Lauren Brunetti
• Angela Brunfeldt, APN
• Keith Bruninga, M.D.
• Debra Brunk, N.P.
• Ashley Brunner
• Jill Brunner, MPT
• Rachel Brunner
• Shannon Brunner
• Scott Brunning

• School Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.